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General NPI Number Information
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NPI Number | 1922432681
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Entity Type | Organization
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Legal Business Name | HOPE NEURO BEHAVIORAL HEALTH SERVICES
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Dates
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Enumeration Date | 08/29/2013
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 445 WESTERN BLVD STE L
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City | JACKSONVILLE
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State | NC
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Zip | 28546-6852
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Country | US
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Telephone | 910-333-9958
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Fax | 910-333-8985
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Provider Business Mailing Address
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Address Line | 125 DEEPWATER DR
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City | STELLA
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State | NC
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Zip | 28582-9741
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Country | US
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Telephone | 910-389-0413
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. RUTHETTA WHITFIELD ECHOLS
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Credential | PA
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Telephone | 910-389-0413
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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